Individual
MS. KAREN MARIE ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, L.D
Contact information
Practice address
01 SAGEBRUSH STREET, ISLETA, NM 87022
(505) 869-4595
(505) 869-4881
Mailing address
PO BOX 640, ISLETA, NM 87022-0640
(505) 869-4595
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-1209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-1209
LICENSE
NM
Enumeration date
08/15/2018
Last updated
08/15/2018
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